| NPI | 1700452042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.033897) |
| Additional Taxonomies | 1223X2210X Dentist, Orofacial Pain (Licence: MN R785) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2022-07-21 |